Guyuron B
Division of Plastic Surgery, Mount Sinai Medical Center, Cleveland, Ohio.
Plast Reconstr Surg. 1989 Jul;84(1):41-4; discussion 45-6.
This randomized study was conducted to evaluate the role of nasal packing following septorhinoplasty. Fifty septorhinoplasty patients were selected (on a random basis) to either receive or not receive nasal packing. Twenty-three of 25 patients with nasal packing and 22 of 25 patients without nasal packing were available for follow-up. This study suggests that patients with nasal packing are less likely to develop recurrent septal deviation and synechia and more likely to have improvement in the nasal airway. Only one of the patients with nasal packing found the removal of the packing the most uncomfortable part of the surgery. The most impressive and statistically significant finding, however, was the significant difference between the two groups in terms of airway improvement, which was 96 percent in the nasal packing group and 64 percent in the group without nasal packing. There was also a higher incidence of recurrent or residual septal deviation in the group without nasal packing (41 percent), while the group with nasal packing had only (13 percent) recurrent or residual deviation.
本随机研究旨在评估鼻中隔鼻成形术后鼻腔填塞的作用。随机选取50例鼻中隔鼻成形术患者，分为接受或不接受鼻腔填塞两组。25例接受鼻腔填塞的患者中有23例、25例未接受鼻腔填塞的患者中有22例可供随访。本研究表明，接受鼻腔填塞的患者发生鼻中隔偏曲复发和粘连的可能性较小，鼻气道改善的可能性较大。接受鼻腔填塞的患者中只有1例认为取出填塞物是手术中最不舒服的部分。然而，最显著且具有统计学意义的发现是，两组在气道改善方面存在显著差异，鼻腔填塞组为96%，未填塞组为64%。未接受鼻腔填塞的组中鼻中隔偏曲复发或残留的发生率也较高（41%），而接受鼻腔填塞的组只有13%复发或残留偏曲。
